Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02212 | Date 29/11/2018 |
| Token No | SM/19-20/19761 17/03/2020 | Serial | 020 Last Visit: 04/07/2022 |
| Patient Name | Miss ARPITA BANERJEE | Contact No | 9051583592 |
| Address | 32, CHATRA CHOWDHURY PARA BY LANE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||